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https://www.readbyqxmd.com/read/28191374/klebsiella-pneumoniae-liver-abscess-a-case-report-and-review-of-literature
#1
Faisal Kamal, George Williams, Hina Akbar, Muhammad Ali Khan, Dipen Kadaria
Klebsiella pneumoniae (K.pneumoniae) is a known cause of pyogenic liver abscess (PLA) in the absence of hepatobiliary disease. In settings of hepatic infection, it has also been known to cause disseminated infections including meningitis and endopthalmitis. Several groups of patients are particularly susceptible to infection, including patients with diabetes mellitus, those from Southeast Asia and those with the preexisting hepatobiliary disease. We present a case of K.pneumoniae PLA with bacteremia. A 39-year-old Vietnamese male with no previous medical history who presented with complaints of abdominal pain, nausea, vomiting, diarrhea and fever...
January 10, 2017: Curēus
https://www.readbyqxmd.com/read/28127691/toxic-metals-in-tissues-of-fishes-from-the-black-sea-and-associated-human-health-risk-exposure
#2
Gabriel Plavan, Oana Jitar, Carmen Teodosiu, Mircea Nicoara, Dragos Micu, Stefan-Adrian Strungaru
The anthropogenic activities in the Black Sea area are responsible for toxic metal contamination of sea food products. In this study, several toxic metals: cadmium, lead, nickel, chromium, and copper were quantified in different tissues (digestive tract, muscle, skeleton, skin) of nine fish species (Neogobius melanostomus, Belone belone, Solea solea, Trachurus mediterraneus ponticus, Sardina pilchardus, Engraulis encrasicolus, Pomatomus saltatrix, Sprattus sprattus, Scorpaena porcus) by using atomic absorption spectrometer with a high-resolution continuum source and graphite furnace technique (HR-CS GF-AAS), and the risk of fish meat consumption by the young human population was evaluated...
January 27, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28042074/a-communications-bundle-to-improve-satisfaction-for-critically-ill-patients-and-their-families-a-prospective-cohort-pilot-study
#3
Rana L Awdish, Dana Buick, Maria Kokas, Hanan Berlin, Catherine Jackman, Cari Williamson, Michael P Mendez, Kristen Chasteen
CONTEXT: Communication skills training with simulated patients is used by many academic centers, but how to translate skills learned in simulated settings to improve communication in real encounters has not been described. OBJECTIVE: We developed a communications bundle to facilitate skill transfer from simulation to real encounters and improve patient and/or family satisfaction with physician communication. We tested the feasibility of its use in our hospital's medical intensive care unit (MICU)...
December 29, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28031475/physiological-characterization-of-a-plant-mitochondrial-calcium-uniporter-in-vitro-and-in-vivo
#4
Enrico Teardo, Luca Carraretto, Stephan Wagner, Elide Formentin, Smrutisanjita Behera, Sara De Bortoli, Veronique Larosa, Philippe Fuchs, Fiorella Lo Lo Schiavo, Anna Raffaello, Rosario Rizzuto, Alex Costa, Markus Schwarzländer, Ildiko Szabo
Over the recent years, several proteins that make up the mitochondrial calcium uniporter complex (MCUC) mediating Ca2+uptake into the mitochondrial matrix have been identified in mammals, including the channel-forming protein MCU. Although six MCU gene homologs are conserved in the model plant Arabidopsis in which mitochondria can accumulate Ca2+, a functional characterization of plant MCU homologs has been lacking. Using electrophysiology we show that one isoform, AtMCU1, gives rise to a Ca2+-permeable channel activity that can be observed even in the absence of accessory proteins implicated in the formation of the active mammalian channel...
December 28, 2016: Plant Physiology
https://www.readbyqxmd.com/read/28000485/predictive-value-of-saps-ii-and-apache-ii-scoring-systems-for-patient-outcome-in-a-medical-intensive-care-unit
#5
COMPARATIVE STUDY
Amina Godinjak, Amer Iglica, Admir Rama, Ira Tančica, Selma Jusufović, Anes Ajanović, Adis Kukuljac
OBJECTIVE: The aim is to determine SAPS II and APACHE II scores in medical intensive care unit (MICU) patients, to compare them for prediction of patient outcome, and to compare with actual hospital mortality rates for different subgroups of patients. METHODS: One hundred and seventy-four patients were included in this analysis over a oneyear period in the MICU, Clinical Center, University of Sarajevo. The following patient data were obtained: demographics, admission diagnosis, SAPS II, APACHE II scores and final outcome...
November 2016: Acta Medica Academica
https://www.readbyqxmd.com/read/27988236/predicting-mortality-of-patients-with-cirrhosis-admitted-to-medical-intensive-care-unit-an-experience-of-a-single-tertiary-center
#6
Abdel-Naser Elzouki, Shireen Suliman, Rania Alhasan, Ali Abdullah, Muftah Othman, Ahmad Badi
BACKGROUND AND STUDY AIMS: Prognosis for patients with cirrhosis admitted to a medical intensive care unit (MICU) is poor and no previous studies have been published from Qatar or other countries in the region to investigate this issue. The objective of this study was to assess the predictors for in-hospital mortality and admission of cirrhotic patients to MICU in a single tertiary hospital in Qatar. PATIENTS AND METHODS: All adult cirrhotic MICU patients hospitalized from 2007 through 2012 to Hamad General Hospital-Qatar were included...
December 2016: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://www.readbyqxmd.com/read/27981288/schwannoma-of-the-median-nerve-mimicking-carpal-tunnel-syndrome-in-a-pregnant-patient-case-report
#7
Giokits-Kakavouli Giasna, Mihaela C Micu, Romeo Micu
In patients with symptoms of a peripheral neuropathy especially during pregnancy, use of imaging techniques such as Ultrasound (US) and Magnetic Resonance Imaging (MRI) may be essential for the diagnostic accomplishment. A 30-weekspregnant diabetic female attending US evaluation due to intermittent hand pain, numbness, and weakness bilaterally. Although, the US evaluation revealed the median nerve (MN) normal size, echogenicity and echo-texture within the right carpal tunnel; the US assessment applied proximally to the carpal tunnel, revealed a hypoechoic tumor-like mass and increased MN cross section area...
December 5, 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27959311/clinical-trial-of-an-educational-program-to-decrease-monitor-alarms-in-a-medical-intensive-care-unit
#8
Arian Brantley, Sandra Collins-Brown, Jasmine Kirkland, Meghan Knapp, Jackie Pressley, Melinda Higgins, James P McMurtry
Clinical research to identify effective interventions for decreasing nonactionable alarms has been limited. The objective of this study was to determine if a staff educational program on customizing alarm settings on bedside monitors decreased alarms in a medical intensive care unit (MICU). A preintervention, postintervention, nonequivalent group design was used to evaluate an educational program on alarm management in a convenience sample of MICU nurses. A 15-minute session was provided in a 1-week period...
July 2016: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/27906818/impact-of-a-general-practitioners-strike-and-of-terrorist-attacks-on-a-call-centre
#9
Paul-Georges Reuter, Charlotte Orsini, Mélanie Grave, Frédéric Linval, Hayatte Akodad, Laurent Goix, Frédéric Adnet, Frédéric Lapostolle
OBJECTIVE: We aimed to evaluate the impact of the same-day GPs' strike and terrorist attacks on a call centre's activity. METHODS: We compared the number of calls received, the number of patient's medical files (PMFs) created and the number of mobile ICU (MICU) dispatched per hour on Friday, 13 November, to the repository established on the five previous Fridays. As previously published, the variation criterion was set to an activity variation above 20% for more than 2 h...
November 30, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27882011/better-prognostic-marker-in-icu-apache-ii-sofa-or-sap-ii
#10
Iftikhar Haider Naqvi, Khalid Mahmood, Syed Ziaullaha, Syed Mohammad Kashif, Asim Sharif
OBJECTIVES: This study was designed to determine the comparative efficacy of different scoring system in assessing the prognosis of critically ill patients. METHODS: This was a retrospective study conducted in medical intensive care unit (MICU) and high dependency unit (HDU) Medical Unit III, Civil Hospital, from April 2012 to August 2012. All patients over age 16 years old who have fulfilled the criteria for MICU admission were included. Predictive mortality of APACHE II, SAP II and SOFA were calculated...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27881698/effects-of-electrolyte-replacement-protocol-implementation-in-a-medical-intensive-care-unit
#11
Daniel J Pearson, Anit Sharma, Joshua A Lospinoso, Michael J Morris, Edward T McCann
PURPOSE: To evaluate the effects of electrolyte replacement protocol (ERP) implementation in the medical intensive care unit (MICU) setting. We hypothesized that a protocol would reduce the time of replacement dose administration and increase provider satisfaction with the process of electrolyte replacement. METHODS: This was a retrospective review of electronic medical record data before and after implementation of a standardized ERP in an 18-bed military tertiary care MICU...
November 22, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27878572/a-comparison-of-two-insulin-infusion-protocols-in-the-medical-intensive-care-unit-by-continuous-glucose-monitoring
#12
Christophe E M De Block, Peter Rogiers, Philippe G Jorens, Tom Schepens, Cosimo Scuffi, Luc F Van Gaal
BACKGROUND: Achieving good glycemic control in intensive care units (ICU) requires a safe and efficient insulin infusion protocol (IIP). We aimed to compare the clinical performance of two IIPs (Leuven versus modified Yale protocol) in patients admitted to medical ICU, by using continuous glucose monitoring (CGM). This is a pooled data analysis of two published prospective randomized controlled trials. CGM monitoring was performed in 57 MICU patients (age 64 ± 12 years, APACHE-II score 28 ± 7, non-diabetic/diabetic: 36/21)...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27857426/nonlinear-optical-responses-in-two-dimensional-transition-metal-dichalcogenide-multilayer-ws-sub-2-sub-wse-sub-2-sub-mos-sub-2-sub-and-mo-sub-0-5-sub-w-sub-0-5-sub-s-sub-2-sub-publisher-s-note
#13
S Bikorimana, P Lama, A Walser, R Dorsinville, S Anghel, A Mitioglu, A Micu, L Kulyuk
This publisher's note amends the Funding section of a recent publication [Opt. Express24, 20685 (2016].
November 14, 2016: Optics Express
https://www.readbyqxmd.com/read/27850184/544-impact-of-early-goals-of-care-education-and-discussion-in-the-micu-on-patient-outcomes
#14
Gehan Devendra, Kaori Arnone, Janelle Allen, Donna Miyamoto, Cheryl Fallon, Alexandre Guilloux, Julius Pham
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849878/236-shock-index-as-a-marker-for-mortality-rates-in-those-admitted-to-the-micu-from-the-ed
#15
Nitasa Sahu
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27818685/primary-sjogren-s-syndrome-presenting-as-acute-interstitial-pneumonitis-hamman-rich-syndrome
#16
Abidullah Khan, Mohammad Humayun, Iqbal Haider, Maimoona Ayub, Zakir Shah, Fahad Ajmal
A previously well, 45-year-old Pakistani lady was admitted to the medical unit on-call of Khyber Teaching Hospital (KTH) Peshawar with a 5-day history of fever, productive cough with copious mucoid sputum, dyspnea, and pleuritic chest pain. She also complained of dry eyes, mouth, and vagina. Her chest X-ray showed diffuse alveolar shadowing and arterial gas analysis confirmed type 1 respiratory failure. Over the next few days, she deteriorated rapidly making an urgent transfer to the medical intensive care unit (MICU) necessary, where she was mechanically ventilated...
2016: Case Reports in Medicine
https://www.readbyqxmd.com/read/27790430/screening-for-intestinal-colonization-with-vancomycin-resistant-enterococci-and-associated-risk-factors-among-patients-admitted-to-an-adult-intensive-care-unit-of-a-large-teaching-hospital
#17
Rajesh Amberpet, Sujatha Sistla, Subhash Chandra Parija, Molly Mary Thabah
INTRODUCTION: Gut colonization with Vancomycin Resistant Enterococci (VRE) increases the risk of acquiring infection during hospital stay. Patients admitted in the ICU's are the major reservoirs for VRE colonization due to higher antibiotic pressure. AIM: To determine the rate of VRE colonization among patients admitted in the Medical Intensive Care Unit (MICU) and to assess the various risk factors which are associated with VRE colonization. MATERIALS AND METHODS: This was a prospective study carried out over a period of 18 months from September 2013 to February 2015 in the Jawaharlal Institute of Post graduate Medical Education and Research (JIPMER), Pondicherry, South India...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27771740/dynamic-change-of-surface-microbiota-with-different-environmental-cleaning-methods-between-two-wards-in-a-hospital
#18
Chang-Hua Chen, Chi-Chao Tu, Han-Yueh Kuo, Rong-Fong Zeng, Cheng-Sheng Yu, Henry Horng-Shing Lu, Ming-Li Liou
Terminal disinfection and daily cleaning have been performed in hospitals in Taiwan for many years to reduce the risks of healthcare-associated infections. However, the effectiveness of these cleaning approaches and dynamic changes of surface microbiota upon cleaning remain unclear. Here, we report the surface changes of bacterial communities with terminal disinfection and daily cleaning in a medical intensive care unit (MICU) and only terminal disinfection in a respiratory care center (RCC) using 16s ribosomal RNA (rRNA) metagenomics...
January 2017: Applied Microbiology and Biotechnology
https://www.readbyqxmd.com/read/27748304/cleistanthus-collinus-poisoning-experience-at-a-medical-intensive-care-unit-in-a-tertiary-care-hospital-in-south-india
#19
Alladi Mohan, G Sivaram Naik, J Harikrishna, D Prabath Kumar, M H Rao, Kvs Sarma, K K Guntupalli
BACKGROUND & OBJECTIVES: Ingestion of Cleistanthus collinus causes hypokalemia and cardiac arrhythmias leading to mortality in most cases. We undertook this retrospective study to evaluate the clinical presentation and predictors of outcome in critically ill patients admitted with C. collinus poisoning. METHODS: The case records of 56 patients admitted to the medical intensive care unit (MICU) of a tertiary care teaching hospital in south India (2000-2014) with C...
June 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/27727931/performance-of-apache-ii-and-sofa-scoring-systems-in-patients-with-sepsis-and-related-syndromes-admitted-to-medical-intensive-care-unit-micu
#20
Sai Neelima Challa, A Mohan, J Harikrishna, Kvs Sarma, B S Kumar
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
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